Provider Demographics
NPI:1861124893
Name:GOLDSTEIN, CAROLINE (RN)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:GOLDSTEIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5728 KENTUCKY AVE
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-1925
Mailing Address - Country:US
Mailing Address - Phone:727-519-5239
Mailing Address - Fax:
Practice Address - Street 1:5728 KENTUCKY AVE
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-1925
Practice Address - Country:US
Practice Address - Phone:727-519-5239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9384504163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health